Individual
DAVID DIAZ DE LEON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 ROY RICHARD DR, SCHERTZ, TX 78154-2723
(210) 566-4777
(210) 566-4779
Mailing address
19238 STONEHUE, SAN ANTONIO, TX 78258-3447
(210) 494-2223
(210) 494-6516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N0731
TX
208M00000X
Hospitalist Physician
N0731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197663102
—
TX
01
—
197663103
CSN
TX
01
—
8BX266
BCBS TX
—
Enumeration date
09/05/2008
Last updated
07/21/2022
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